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New York State Dental Program – Payments for Scaling and Root Planing Procedures (Follow-Up)
… initial report Group Health Incorporated: New York State Dental Program - Payments for Scaling and Root Planing … 1, 2005 through December 31, 2008. New York State provides dental insurance benefits to certain State employees and … contracts with Group Health Incorporated (GHI) to process dental claims on behalf of the State. Emblem Health is the …
https://www.osc.ny.gov/state-agencies/audits/2013/11/12/new-york-state-dental-program-payments-scaling-and-root-planing-procedures-followOverpayments for Services Also Covered by Medicare Part B (Follow-Up)
… eligible for Medicare Part B, which provides supplementary medical insurance covering a broad range of outpatient medical services, physicians' fees, and medical supplies. Individuals enrolled in both Medicaid and …
https://www.osc.ny.gov/state-agencies/audits/2014/03/06/overpayments-services-also-covered-medicare-part-b-followManagement of General School Funds (Follow-Up)
… School Fund (GSF) accounts. We could not fully account for GSF funds, as none of the schools maintained required … The GSF account is used to deposit monies collected for extracurricular and co-curricular activities, such as the …
https://www.osc.ny.gov/state-agencies/audits/2014/09/30/management-general-school-funds-followVehicle and Heavy Equipment Purchase Program (Follow-Up)
… included in our initial audit report, Vehicle and Heavy Equipment Purchase Program ( Report 2009-S-32 ). … procedures to ensure that the acquisition of vehicles and heavy equipment was justified. In a random sample of 75 items … included in our initial audit report Vehicle and Heavy Equipment Purchase Program Repor …
https://www.osc.ny.gov/state-agencies/audits/2014/11/03/vehicle-and-heavy-equipment-purchase-program-followManagement and Control of Employee Overtime Costs (Follow-Up)
… of implementation of the four recommendations included in our initial audit report, Management and Control of … on August 17, 2011, determined that the Port Authority of New York and New Jersey (Port Authority) generally did not … of implementation of the four recommendations included in our initial audit report Management and Control of …
https://www.osc.ny.gov/state-agencies/audits/2014/12/19/management-and-control-employee-overtime-costs-followUnnecessary Medicaid Payments for Children at Voluntary Agencies (Follow-Up)
… that the Department provides to the voluntary agencies to pay for medical services provided to the children in their …
https://www.osc.ny.gov/state-agencies/audits/2014/10/23/unnecessary-medicaid-payments-children-voluntary-agencies-followImproper Managed Care Payments for Certain Medicaid Recipients (Follow-Up)
… extent of implementation of the five recommendations made in our audit report, Improper Managed Care Payments for … years ended June 30, 2010, Medicaid made $15.6 million in improper managed care payments on behalf of 14,899 … who, by State law, were precluded from enrollment in managed care programs. We recommended that the Department …
https://www.osc.ny.gov/state-agencies/audits/2015/01/20/improper-managed-care-payments-certain-medicaid-recipients-followMedicaid Program – Medicaid Claims Processing Activity April 1, 2014 Through September 30, 2014
… by approved providers, were processed in accordance with Medicaid requirements, and resulted in correct payments … methodology; $402,927 in overpayments for claims billed with incorrect information pertaining to other health … payments for pharmacy claims that were not in compliance with State Medicaid policies; $252,022 in overpayments for …
https://www.osc.ny.gov/state-agencies/audits/2015/06/29/medicaid-program-medicaid-claims-processing-activity-april-1-2014-through-september-30-2014American Academy of Pediatrics, District II
… (Department) made to the American Academy of Pediatrics, District II (AAP) under contract C028275.After identifying … paid to the Executive Director and his Administrative Assistant, and wages reportedly paid to the AAP webmaster. In … E felony). We will continue to work with the Office of the Attorney General as part of the Comptroller and Attorney …
https://www.osc.ny.gov/state-agencies/audits/2014/02/28/american-academy-pediatrics-district-iiEnhanced Medicaid Payments to Selected Home Health Care Service Providers (Follow-Up)
… audit report, Enhanced Medicaid Payments to Selected Home Health Care Service Providers (Report 2009-S-25). … issued on September 24, 2010, examined whether selected home health care providers properly used Medicaid funds for … 2006 through 2011, to organizations that provide certain home health care services to Medicaid recipients. The …
https://www.osc.ny.gov/state-agencies/audits/2013/09/05/enhanced-medicaid-payments-selected-home-health-care-service-providers-followEmpire BlueCross BlueShield – Payments to John T. Mather Memorial Hospital (Follow-Up)
… Empire BlueCross BlueShield: Payments to John T. Mather Memorial Hospital (Report 2010-S-51), issued on April 23, … is comprised of ten hospitals, including John T. Mather Memorial Hospital (Mather). Empire’s agreement with the … Empire BlueCross Blue Shield - Payments to John T. Mather Memorial Hospital (2010-S-51) New York State Health Insurance …
https://www.osc.ny.gov/state-agencies/audits/2013/06/04/empire-bluecross-blueshield-payments-john-t-mather-memorial-hospital-followOverpayments of Claims for Selected Professional Services (Follow-Up)
… each case, both the provider and the provider's affiliated medical group received Medicaid payments for the same … and to remind providers that they must maintain medical records for services they provide. Key Finding …
https://www.osc.ny.gov/state-agencies/audits/2013/09/23/overpayments-claims-selected-professional-services-followContract with Daytop Village, Inc. (Follow-Up)
… Village, Inc. (Report 2008-R-1). Background The Office of Alcoholism and Substance Abuse Services (OASAS) oversees … review. Other Related Audit/Report of Interest Office of Alcoholism and Substance Abuse Services: Chemical Dependency …
https://www.osc.ny.gov/state-agencies/audits/2013/04/10/contract-daytop-village-inc-followFood Safety Monitoring
… 18, 2013. Background The Department's Division of Food Safety and Inspection (Division) is responsible for enforcing … State laws and Department regulations related to food safety. The Division's objective is to ensure a safe and … provide managers and supervisors with access to relevant data and provide appropriate training in data analysis to …
https://www.osc.ny.gov/state-agencies/audits/2014/01/30/food-safety-monitoringSelected Aspects of Bus Fleet Maintenance Report (Follow-Up)
… of the seven recommendations included in our initial audit report, Selected Aspects of Bus Fleet Maintenance (Report 2009-S-51). Background Our initial audit report, which … of the seven recommendations included in our initial audit report Selected Aspects of Bus Fleet Maintenance Report 2009 …
https://www.osc.ny.gov/state-agencies/audits/2013/07/11/selected-aspects-bus-fleet-maintenance-report-followSelected Aspects of Railcar Fleet Maintenance (Follow-Up)
… (MTA)-New York City Transit (Transit) and the MTA-Staten Island Railway (Railway) have established systems of … Transportation Authority: New York City Transit and Staten Island Railway - Selected Aspects of Railcar Fleet …
https://www.osc.ny.gov/state-agencies/audits/2013/08/13/selected-aspects-railcar-fleet-maintenance-followMedicaid Program – Medicaid Claims Processing Activity October 1, 2012 Through March 31, 2013
… cycles, which averaged about 6.4 million claims and $995 million in payments to providers. Key Findings Auditors …
https://www.osc.ny.gov/state-agencies/audits/2014/05/22/medicaid-program-medicaid-claims-processing-activity-october-1-2012-through-march-31-2013Medicaid Claims Processing Activity April 1, 2012 Through September 30, 2012
… and paid in weekly cycles, which averaged about 6.3 million claims and $950 million in provider payments. Key …
https://www.osc.ny.gov/state-agencies/audits/2013/10/09/medicaid-claims-processing-activity-april-1-2012-through-september-30-2012Management of Invasive Species (Follow-Up)
… of the four recommendations included in our initial audit report, Management of Invasive Species (Report 2019-S-26 ) . About the Program Many species of plants … of the four recommendations included in our initial audit report Management of Invasive Species Report 2019S26 …
https://www.osc.ny.gov/state-agencies/audits/2021/11/19/management-invasive-species-followPurchasing and Procurement Practices
… to be pursuant to a competitive bidding purchasing policy approved by the New York State Franchise Oversight Board … goods or services from suppliers outside of the approved vendor list without the Purchasing Department questioning why … to support the payment of $787,517 to a construction contractor. As a result, we could not determine whether the …
https://www.osc.ny.gov/state-agencies/audits/2022/03/16/purchasing-and-procurement-practices